[Federal Register Volume 65, Number 35 (Tuesday, February 22, 2000)]
[Notices]
[Pages 8710-8712]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-4064]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Program Announcement 00024]


Grant for Injury Control Training and Demonstration Center; 
Notice of Availability of Funds

A. Purpose

    The Centers for Disease Control and Prevention (CDC) announces the 
availability of funds in Fiscal Year (FY) 2000 for a Grant for an 
Injury Control Training and Demonstration Center.
    The purpose of this grant program is to provide support for an 
injury control training and demonstration center in a state 
predominately comprised of economically depressed rural communities 
where a relatively large portion of the work force is engaged in 
underground mining, family farming and other rural occupations.

B. Eligible Applicants

    Applications may be submitted by public and private nonprofit 
organizations and by governments and their agencies; that is, 
universities, colleges, research institutions, hospitals, other public 
and private nonprofit organizations, State and local governments or 
their bona fide agents, and Federally recognized Indian tribal 
governments, Indian tribes, or Indian tribal organizations.

    Note: Public Law 104-65 states that an organization described in 
Section 501 (c)(4) of the Internal Revenue Code of 1986 that engages 
in lobbying activities is not eligible to receive Federal funds 
constituting an award, grant, cooperative agreement, contract loan 
or any other form.

C. Availability of Funds

    Approximately $1,000,000 is available in FY 2000 to fund one award. 
It is expected that the award will begin on or about September 30, 
2000, and will be made for a 12-month budget period within a project 
period of up to three years. Funding estimates may change.
    Continuation awards within an approved project period will be made 
on the basis of satisfactory progress as evidenced by required reports 
and the availability of funds.

D. Program Requirements

    In conducting the activities to achieve the purpose of this 
program, the recipient will be responsible for the following 
activities:
    1. Maintain and enhance a level 1 trauma center that has 
established linkages with isolated, rural hospitals that provide 
medical care services in communities where economic conditions are 
depressed and where many residents work in occupations, including 
underground mining and family farming, that have an increased risk for 
severe injuries.
    2. Provide a full-time director/coordinator at the level 1 trauma 
center with authority and responsibility to carry out the requirements 
of the program.
    3. Provide qualified staff, other resources, and knowledge to 
implement the components of the program.
    4. Maintain and enhance a state-of-the-art telecommunications 
system with 24-hour capability.
    5. Maintain and enhance an applied research program in rural trauma 
care and EMS systems to enhance and extend prevention, acute care and 
rehabilitation services.
    6. Maintain and enhance training and continuing education programs 
for emergency physicians, surgeons, trauma nurses, physician 
assistants, and pre-hospital personnel.
    7. Maintain and enhance a population-based trauma registry with 
uniform case criteria and data elements, to be used for trauma care 
assessment and injury surveillance.
    8. Maintain and enhance an effective, well-defined working 
relationship with regional and State health agencies that have 
responsibility for EMS and trauma care services.
    9. Provide an intervention project with includes clinical 
prevention services to emergency department patients with alcohol-
related injuries in an emergency department setting.

E. Application Content

    Use the information in the Program Requirements, Other 
Requirements, and Evaluation Criteria sections to develop the 
application content. Applications will be evaluated on the criteria 
listed, so it is important to follow them in laying out your program 
plan. The narrative should be no more than 30 double-spaced pages, 
printed on one side, with one inch margins, and unreduced font.
    The Application Must Include:
    1. Background and Need:
    A. Demonstrate how the applicant will carry out the activities of 
this grant in a State that is predominately comprised of economically 
depressed rural communities where a relatively large portion of the 
work force is engaged in underground mining, family farming and other 
rural occupations.
    B. Demonstrate how the Level 1 Trauma Center will establish 
linkages with isolated, rural hospitals that

[[Page 8711]]

provide medical care services in communities where economic conditions 
are depressed and where many residents work in occupations, including 
underground mining and family farming, that have an increased risk for 
severe injuries.
    2. Methods:
    A. Describe how the Center's injury control program maintains a 
balance of training, service and research, which contributes new 
knowledge applicable to injury prevention and treatment at the State 
and National levels.
    B. Describe the ability to provide qualified staff and other 
resources and knowledge to implement the components of the program, 
including a trained epidemiologist or healthcare services researcher.
    C. Describe availability of state-of-the-art telecommunications on 
a 24-hour basis that facilitates: (a) consultations with medical 
specialists, (b) linkages to major medical and injury control research 
centers, and (c) transmission of diagnostic information.
    D. Describe a plan for an applied research program in rural trauma 
care and EMS systems, to enhance and extend prevention, acute care and 
rehabilitation services. Possible research applications may include: 
more effective public and professional education in injury prevention, 
quicker public access to emergency services, demonstrable enhancements 
of telecommunications capacity for pre-hospital emergency care 
providers, equipment and methods for expeditious transport of injured 
persons from the scene of injury to the most appropriate receiving 
hospital, more timely and effective use of resuscitative interventions 
by pre-hospital and hospital personnel who treat traumatically injured 
persons, clinical prevention services that target risk-factors for 
injury recidivism, closer integration of acute care and rehabilitation 
services, and improvements in trauma care and EMS surveillance systems 
to facilitate evaluation of clinical and systems performance, and 
evaluation of clinical prevention services.
    E. Describe a demonstrated capacity to maintain training and 
continuing education programs for emergency physicians, surgeons, 
trauma nurses, physician assistants, and pre-hospital personnel, so 
that providers at all phases and levels of service are capable of 
rendering trauma care that meets recognized national standards. 
Training programs for pre-hospital personnel could reflect current 
standard curricula for basic and advanced service providers. Teaching 
programs for physicians and trauma nurses could include instruction in 
advanced methods for resuscitation and stabilization of critically 
injured patients. Training in medical control and EMS operations could 
be a priority for those physicians who provide medical direction to 
pre-hospital personnel. Injury prevention and control must be 
integrated in all training programs.
    F. Describe the ability to incorporate new and rapidly emerging 
national standards for emergency care data as computerized patient care 
record systems are introduced or modified for emergency department use.
    G. Describe working relationships with regional and State health 
agencies that have responsibility for injury prevention and control and 
EMS and trauma care services.
    H. Describe a research plan to test clinical prevention services to 
emergency department patients with alcohol problems. Currently active 
research protocol(s) along with relevant IRB approvals should be 
described.
    I. If the proposed project involves research on human subjects, 
applicants must describe and demonstrate that the project will be 
subject to initial and continuing review by an appropriate 
institutional review committee. Applicants will be responsible for 
providing assurance in accordance with the appropriate guidelines and 
form provided in the application kit.
    J. Provide a detailed description of the proposed first year 
activities, as well as a brief description of future year activities. 
Provide a detailed budget, with accompanying justification of all costs 
that is consistent with the stated objectives and planned activities of 
the project. CDC may not approve or fund all proposed activities. The 
applicant should be precise about the program purpose of each budget 
item. Proposed contracts should identify the name of the contractor, if 
known; describe the services to be performed; provide an itemized 
budget and justification for the estimated costs of the contract; 
specify the period of performance, and method of selection.
    K. Describe the degree to which the applicant has met the CDC 
Policy requirements regarding the inclusion of women, ethnic, and 
racial groups in the proposed research.

F. Submission and Deadline

Application

    Submit the original and two copies of PHS 5161-1 (OMB Number 0937-
0189). Forms are in the application kit. On or before May 1, 2000, 
submit the application to the Grants Management Specialist identified 
in the ``Where To Obtain Additional Information'' Section of this 
announcement.
    Deadline: Applications shall be considered as meeting the deadline 
if they are either:
    (a) Received on or before the deadline date; or (b) Sent on or 
before the deadline date and received in time for submission to the 
independent review group. (Applicants must request a legibly dated U.S. 
Postal Service postmark or obtain a legibly dated receipt from a 
commercial carrier or U.S. Postal Service. Private metered postmarks 
shall not be acceptable as proof of timely mailing.)
    Late Applications: Applications which do not meet the criteria in 
(a) or (b) above are considered late applications, will not be 
considered, and will be returned to the applicant.

G. Evaluation Criteria

    Each application will be evaluated individually against the 
following criteria by an independent review group appointed by CDC.
    1. Background and Need (25 percent)
    The applicant's understanding of the problem of addressing rural 
trauma care issues. Applicant must demonstrate that this grant will be 
carried out in a State that is predominately comprised of economically 
depressed rural communities where a relatively large portion of the 
work force is engaged in underground mining, family farming and other 
rural occupations. Applicant must demonstrate a history of addressing 
the special needs of trauma victims engaged in these occupations.
    2. Methods (30 percent)
    The extent to which the applicant provides a detailed description 
of all proposed activities and collaboration needed to achieve each 
objective and the overall program goal(s). The extent to which the 
applicant provides a reasonable, logically sequenced and complete 
schedule for implementing all activities. The extent to which position 
descriptions, lines of command, and collaborations are appropriate to 
accomplishing the program goal(s) and objectives. The degree to which 
the applicant has met the CDC policy requirements regarding the 
inclusion of women, ethnic, and racial groups in the proposed research. 
This includes:
    a. The proposed plan for the inclusion of both sexes and racial and 
ethnic minority populations for appropriate representation.
    b. The proposed justification when representation is limited or 
absent.

[[Page 8712]]

    c. A statement as to whether the design of the study is adequate to 
measure differences when warranted.
    d. A statement as to whether the plans for recruitment and outreach 
for study participants include the process of establishing partnerships 
with community(ies) and recognition of mutual benefits.
    3. Evaluation (10 percent)
    The extent to which the proposed evaluation plan is detailed and 
capable of documenting program process and outcome measures. The extent 
to which the applicant demonstrates staff and/or collaborator 
availability, expertise, and capacity to perform the evaluation.
    4. Staff and Resources (35 percent)
    The extent to which the applicant can provide adequate facilities, 
staff and/or collaborators, including a full-time coordinator and 
resources to accomplish the proposed goal(s) and objectives during the 
project period. The extent to which the applicant demonstrates staff 
and/or collaborator availability, expertise, previous experience, and 
capacity to perform the undertaking successfully.
    5. Budget and Justification (not scored)
    The extent to which the applicant provides a detailed budget and 
narrative justification consistent with the stated objectives and 
planned program activities.
    6. Human Subjects (not scored)
    Indicate whether human subjects will be involved, and if so, how 
they will be protected, and describe the review process which will 
govern their participation.

H. Other Requirements

Technical Reporting Requirements

    Provide CDC with original plus two copies of:
    (a) progress reports, semi-annual;
    (b) financial status report, no more than 90 days after the end of 
the budget period; and final financial status and performance reports, 
no more than 90 days after the end of the project period. Send all 
reports to, Grants Management Specialist identified in the ``Where to 
Obtain Additional Information'' section of this announcement.
    The following additional requirements are applicable to this 
program. For a complete description of each, see Attachment I in the 
application kit.

AR-1 Human Subjects Requirements
AR-2 Requirements for Inclusion of Women and Racial and Ethnic 
Minorities in Research
AR-7 Executive Order 12372 Review
AR-8 Public Health System Reporting Requirements
AR-9 Paperwork Reduction Act Requirements
AR-10 Smoke-Free Workplace Requirements
AR-11 Healthy People 2010
AR-12 Lobbying Restrictions
AR-13 Prohibition on Use of CDC Funds for Certain Gun Control 
Activities

I. Authority and Catalog of Federal Domestic Assistance Number

    This program is authorized under section 301(a), 317(k)(2), 391, 
392, 394, and 394A [42 U.S.C. 241(a), 247b(k)(2), 280b, 280b-1, 280b-2, 
280b-3] of the Public Health Service Act, as amended. The Catalog of 
Federal Domestic Assistance number is 93.136.

J. Where to Obtain Additional Information

    For this and other CDC Program Announcements, please see the CDC 
home page on the Internet: http://www.cdc.gov
    To receive additional written information and to request an 
application kit, call 1-888-GRANTS4 (1-888-472-6874). You will be asked 
to leave your name and address and will be instructed to identify the 
announcement number of interest. Please refer to Program Announcement 
00024 when you request information. After reviewing the Program 
Announcement, for business management assistance, contact:

Joanne Wojcik, Grants Management Specialist, Grants Management Branch, 
Procurement and Grants Office, Announcement 00024, Centers for Disease 
Control and Prevention (CDC), 2920 Brandywine Road, Suite 3000, 
Atlanta, GA 30341-4146, Telephone (770) 488-2717, Email address 
[email protected]

    For program technical assistance, contact:

Paul Burlack, Centers for Disease Control and Prevention, National 
Center for Injury Prevention and Control, 4770 Buford Highway N.E., 
Mailstop F41, Atlanta, GA 30341-3724, Telephone (770) 488-4031, Email 
address [email protected]

    Dated: February 15, 2000.
John L. Williams,
Director, Procurement and Grants Office, Centers for Disease Control 
and Prevention (CDC).
[FR Doc. 00-4064 Filed 2-18-00; 8:45 am]
BILLING CODE 4163-18-P